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Bridge Emergency Shelter

Child care center · , TX · License 170567

0Compliance score
Poor

Capacity 16. 5-17

Violation history (160)

SeverityDateStandard / narrativeCorrected
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Identified high risk behaviors do not include plan to address the risk for child in care.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation completed a preliminary service plan four days after admitting a child in care.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple children in care allege the same staff uses profane language with them and that staff claimed there may have been times when the children in care overheard such language.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
First Aid and CPR training was completed 22 days after the required date.		 —
4— 748.863(b) - Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
Of the training records reviewed, one pre-service record were lacking trainer qualifications. Employee was sole caregiver on 11/21/2024 and did not complete training until 12/10/2024.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Child in care was given the wrong medication in error.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
EBI training was completed 9 months a part which does not meet the required every 180 day timeframe.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff who was not authorized to use emergency behavior interventions due to not completing training was involved in demonstrating behavior intervention techniques with another staff which should never be used unless in an emergency situation.		 —
2— 748.1109(b) - Child Rights sibling contact-Address plans for sibling visits and contacts in the child's record
A child's record did not contain plans or contact information for their siblings.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
It was found that one child?s prescribe medication was administered to another child.		 —
3— 748.881(7) - General pre-service training curriculum-Includes normalcy
The required normalcy training was not completed during pre service train ing.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
4 hours of EBI training was not completed within the 180 day of last completed EBI training.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A medication error report was not completed within 24 hours.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
Two child files reviewed did not contain vaccination records.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member failed to return a child to the operation and instead transported the child to a different location.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Serious incident report was not updated with additional information.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the review of a child s medication record it was notice that the child did not receive their PM dose of medication as prescribed.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Exterior wall, that is accessible to children in care, had significant mold.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
The incident report only had the names of two of the staff involved. There were others not listed.		 —
3— 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The provided Annual Summary Log was missing entries for unauthorized absences occurring in March 2023 and did not contain all required information noted in 748.453 (a) (1-6).		 —
3— 748.881(7) - General pre-service training curriculum-Includes normalcy
The required normalcy training was not completed during pre service train ing.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Identified high risk behaviors do not include plan to address the risk for child in care.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Child in care was given the wrong medication in error.		 —
3— 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The provided Annual Summary Log was missing entries for unauthorized absences occurring in March 2023 and did not contain all required information noted in 748.453 (a) (1-6).		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
4 hours of EBI training was not completed within the 180 day of last completed EBI training.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff who was not authorized to use emergency behavior interventions due to not completing training was involved in demonstrating behavior intervention techniques with another staff which should never be used unless in an emergency situation.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
First Aid and CPR training was completed 22 days after the required date.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple children in care allege the same staff uses profane language with them and that staff claimed there may have been times when the children in care overheard such language.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
It was found that one child?s prescribe medication was administered to another child.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Serious incident report was not updated with additional information.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member failed to return a child to the operation and instead transported the child to a different location.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Exterior wall, that is accessible to children in care, had significant mold.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
Two child files reviewed did not contain vaccination records.		 —
2— 748.1109(b) - Child Rights sibling contact-Address plans for sibling visits and contacts in the child's record
A child's record did not contain plans or contact information for their siblings.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
EBI training was completed 9 months a part which does not meet the required every 180 day timeframe.		 —
4— 748.863(b) - Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
Of the training records reviewed, one pre-service record were lacking trainer qualifications. Employee was sole caregiver on 11/21/2024 and did not complete training until 12/10/2024.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the review of a child s medication record it was notice that the child did not receive their PM dose of medication as prescribed.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation completed a preliminary service plan four days after admitting a child in care.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
The incident report only had the names of two of the staff involved. There were others not listed.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A medication error report was not completed within 24 hours.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Identified high risk behaviors do not include plan to address the risk for child in care.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A medication error report was not completed within 24 hours.		 —
3— 748.881(7) - General pre-service training curriculum-Includes normalcy
The required normalcy training was not completed during pre service train ing.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
EBI training was completed 9 months a part which does not meet the required every 180 day timeframe.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
Two child files reviewed did not contain vaccination records.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
4 hours of EBI training was not completed within the 180 day of last completed EBI training.		 —
2— 748.1109(b) - Child Rights sibling contact-Address plans for sibling visits and contacts in the child's record
A child's record did not contain plans or contact information for their siblings.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple children in care allege the same staff uses profane language with them and that staff claimed there may have been times when the children in care overheard such language.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the review of a child s medication record it was notice that the child did not receive their PM dose of medication as prescribed.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
First Aid and CPR training was completed 22 days after the required date.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation completed a preliminary service plan four days after admitting a child in care.		 —
3— 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The provided Annual Summary Log was missing entries for unauthorized absences occurring in March 2023 and did not contain all required information noted in 748.453 (a) (1-6).		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member failed to return a child to the operation and instead transported the child to a different location.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Serious incident report was not updated with additional information.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
The incident report only had the names of two of the staff involved. There were others not listed.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
It was found that one child?s prescribe medication was administered to another child.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Exterior wall, that is accessible to children in care, had significant mold.		 —
4— 748.863(b) - Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
Of the training records reviewed, one pre-service record were lacking trainer qualifications. Employee was sole caregiver on 11/21/2024 and did not complete training until 12/10/2024.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Child in care was given the wrong medication in error.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff who was not authorized to use emergency behavior interventions due to not completing training was involved in demonstrating behavior intervention techniques with another staff which should never be used unless in an emergency situation.		 —
2— 748.1109(b) - Child Rights sibling contact-Address plans for sibling visits and contacts in the child's record
A child's record did not contain plans or contact information for their siblings.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
First Aid and CPR training was completed 22 days after the required date.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
EBI training was completed 9 months a part which does not meet the required every 180 day timeframe.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation completed a preliminary service plan four days after admitting a child in care.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Identified high risk behaviors do not include plan to address the risk for child in care.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Serious incident report was not updated with additional information.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
Two child files reviewed did not contain vaccination records.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Child in care was given the wrong medication in error.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member failed to return a child to the operation and instead transported the child to a different location.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Exterior wall, that is accessible to children in care, had significant mold.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
4 hours of EBI training was not completed within the 180 day of last completed EBI training.		 —
3— 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The provided Annual Summary Log was missing entries for unauthorized absences occurring in March 2023 and did not contain all required information noted in 748.453 (a) (1-6).		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the review of a child s medication record it was notice that the child did not receive their PM dose of medication as prescribed.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
The incident report only had the names of two of the staff involved. There were others not listed.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple children in care allege the same staff uses profane language with them and that staff claimed there may have been times when the children in care overheard such language.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A medication error report was not completed within 24 hours.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff who was not authorized to use emergency behavior interventions due to not completing training was involved in demonstrating behavior intervention techniques with another staff which should never be used unless in an emergency situation.		 —
3— 748.881(7) - General pre-service training curriculum-Includes normalcy
The required normalcy training was not completed during pre service train ing.		 —
4— 748.863(b) - Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
Of the training records reviewed, one pre-service record were lacking trainer qualifications. Employee was sole caregiver on 11/21/2024 and did not complete training until 12/10/2024.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
It was found that one child?s prescribe medication was administered to another child.		 —
2— 748.1109(b) - Child Rights sibling contact-Address plans for sibling visits and contacts in the child's record
A child's record did not contain plans or contact information for their siblings.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Exterior wall, that is accessible to children in care, had significant mold.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
During the review of a child s medication record it was notice that the child did not receive their PM dose of medication as prescribed.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
4 hours of EBI training was not completed within the 180 day of last completed EBI training.		 —
4— 748.981(c) - First-aid-CPR training-Any new caregiver not currently certified in first-aid must be trained and certified within 90 days of employment
First Aid and CPR training was completed 22 days after the required date.		 —
4— 748.931(a)(1)(B)(iii) - Annual Training-Every 6 months a caregiver must complete at least 4 hours of training in EBI
EBI training was completed 9 months a part which does not meet the required every 180 day timeframe.		 —
4— 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
Multiple children in care allege the same staff uses profane language with them and that staff claimed there may have been times when the children in care overheard such language.		 —
3— 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The provided Annual Summary Log was missing entries for unauthorized absences occurring in March 2023 and did not contain all required information noted in 748.453 (a) (1-6).		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
Identified high risk behaviors do not include plan to address the risk for child in care.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
Serious incident report was not updated with additional information.		 —
4— 748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A medication error report was not completed within 24 hours.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
The operation completed a preliminary service plan four days after admitting a child in care.		 —
3— 748.881(7) - General pre-service training curriculum-Includes normalcy
The required normalcy training was not completed during pre service train ing.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
Two child files reviewed did not contain vaccination records.		 —
4— 748.863(b) - Caregivers who have not completed all pre-service training may not be counted in ratio unless there is a qualified caregiver counted at same time.
Of the training records reviewed, one pre-service record were lacking trainer qualifications. Employee was sole caregiver on 11/21/2024 and did not complete training until 12/10/2024.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff who was not authorized to use emergency behavior interventions due to not completing training was involved in demonstrating behavior intervention techniques with another staff which should never be used unless in an emergency situation.		 —
4— 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Child in care was given the wrong medication in error.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member failed to return a child to the operation and instead transported the child to a different location.		 —
3— 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
The incident report only had the names of two of the staff involved. There were others not listed.		 —
4— 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
It was found that one child?s prescribe medication was administered to another child.		 —

Severity 5 = most serious. Source: official state record.

Inspections (120)

120 inspection record(s) on file from TX-HHSC.

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